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Coventry Benefits
Area 1 Rates, Georgia |
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Area 1 Rates
Third Quarter 2008 New Business Rates: Effective 7/1/08 - 9/15/08
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1) Select the plan and corresponding premium based on each applicant’s county (zip code), age and gender.
2) For applicants who have used tobacco in the previous 12 months, add 20% additional premium.
3) Add each applicant’s premium rate together to determine the total family rate for families with fewer than four members.
4) For a family with four or more members applying, multiply the total family rate by .90 for a 10% discount.
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$20/500 |
$20/1,000 |
$20/2,000
Most Popluar Plan |
$20/3,000 |
$20/4,000 |
$20/5,000 |
$20/10,000 |
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Age |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
0-1 |
343.00 |
343.00 |
263.00 |
263.00 |
197.00 |
197.00 |
154.00 |
154.00 |
144.00 |
144.00 |
136.00 |
136.00 |
92.00 |
92.00 |
1-19 |
156.00 |
156.00 |
120.00 |
120.00 |
90.00 |
90.00 |
70.00 |
70.00 |
66.00 |
66.00 |
62.00 |
62.00 |
43.00 |
43.00 |
20-24 |
156.00 |
224.00 |
120.00 |
171.00 |
90.00 |
129.00 |
70.00 |
100.00 |
66.00 |
94.00 |
62.00 |
89.00 |
43.00 |
60.00 |
25-29 |
170.00 |
286.00 |
132.00 |
221.00 |
98.00 |
164.00 |
76.00 |
129.00 |
71.00 |
121.00 |
69.00 |
114.00 |
46.00 |
77.00 |
30-34 |
210.00 |
311.00 |
161.00 |
240.00 |
119.00 |
179.00 |
93.00 |
139.00 |
87.00 |
130.00 |
83.00 |
124.00 |
56.00 |
84.00 |
35-39 |
244.00 |
333.00 |
187.00 |
255.00 |
139.00 |
191.00 |
108.00 |
149.00 |
101.00 |
140.00 |
97.00 |
132.00 |
66.00 |
90.00 |
40-44 |
281.00 |
389.00 |
216.00 |
299.00 |
161.00 |
223.00 |
125.00 |
175.00 |
117.00 |
164.00 |
112.00 |
155.00 |
75.00 |
105.00 |
45-49 |
389.00 |
467.00 |
299.00 |
360.00 |
223.00 |
268.00 |
175.00 |
210.00 |
164.00 |
197.00 |
155.00 |
186.00 |
105.00 |
126.00 |
50-54 |
530.00 |
561.00 |
408.00 |
433.00 |
303.00 |
322.00 |
237.00 |
251.00 |
222.00 |
235.00 |
211.00 |
223.00 |
143.00 |
152.00 |
55-59 |
686.00 |
629.00 |
528.00 |
484.00 |
392.00 |
361.00 |
307.00 |
282.00 |
288.00 |
264.00 |
273.00 |
250.00 |
186.00 |
169.00 |
60-64 |
934.00 |
732.00 |
718.00 |
563.00 |
536.00 |
419.00 |
418.00 |
327.00 |
392.00 |
306.00 |
371.00 |
291.00 |
252.00 |
198.00 |
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An optional Mental Health Rider is available with POS Plans shown above. The monthly premium is $24.88 per member. If this Rider is purchased, it must be taken by all family members applying for coverage on the same application.
CoventryOne® monthly rates shown are for effective dates of July 1, 2008, through September 15, 2008. Rates are issued for illustrative purposes . All applicants are subject to medical underwriting and approval by Coventry Health Care of Georgia, Inc. Refer to plan documents for a complete list of coverage, limitations and exclusions.
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QHD Point-of-Service, High Deductible HSA Plans
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$1,250/$2,500 |
$3,000/$5,500 |
$5,000/$10,000 |
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Age |
Male |
Female |
Male |
Female |
Male |
Female |
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0-1 |
248.00 |
248.00 |
168.00 |
168.00 |
131.00 |
131.00 |
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1-19 |
113.00 |
113.00 |
76.00 |
76.00 |
59.00 |
59.00 |
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20-24 |
113.00 |
162.00 |
76.00 |
112.00 |
59.00 |
87.00 |
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25-29 |
124.00 |
207.00 |
84.00 |
141.00 |
65.00 |
109.00 |
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30-34 |
152.00 |
225.00 |
102.00 |
154.00 |
80.00 |
119.00 |
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35-39 |
176.00 |
241.00 |
119.00 |
164.00 |
93.00 |
127.00 |
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40-44 |
202.00 |
281.00 |
138.00 |
191.00 |
107.00 |
148.00 |
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45-49 |
281.00 |
338.00 |
191.00 |
229.00 |
148.00 |
179.00 |
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50-54 |
383.00 |
406.00 |
261.00 |
276.00 |
201.00 |
215.00 |
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55-59 |
494.00 |
455.00 |
338.00 |
309.00 |
262.00 |
241.00 |
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60-64 |
675.00 |
529.00 |
461.00 |
360.00 |
357.00 |
279.00 |
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CoventryOne® monthly rates shown are for effective dates of January 1, 2008, through March 15, 2008. Rates are issued for illustrative purposes . All applicants are subject to medical underwriting and approval by Coventry Health Care of Georgia, Inc. Refer to plan documents for a complete list of coverage, limitations and exclusions.
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Area 1 Counties:
Banks, Barrow, Bartow, Butts, Carroll, Cherokee, Clarke, Clayton, Cobb, Coweta, Dawson,
Dekalb, Douglas, Fayette, Forsyth (excluding 30506 zip code), Fulton, Gordon, Greene,
Gwinnett, Haralson, Heard, Henry, Jackson, Jasper, Madison, Meriwether, Morgan, Newton,
Oconee, Oglethorpe, Paulding, Pike, Rockdale, Spalding, Troup, Walton, & Wilkes
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Help Center |
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Office Hours
Mon - Fri: 7:45am - 9pm EST
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Authorized Independent Agent
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